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g8 1i31a <br />-- m AA I? D IOwro <br />STATE OF COLOF ADO <br />DIVISION OF RECLAMATION, MINING AND SAFETY <br />Department of Natural Resources <br />1313 Sherman St., Room 215 <br />Denver, Colorado 80203 ??????® <br />Phone: (303) 866-3567 CONSTRUCTION MATERIALS <br />FAX: (303) 832-8106 REGULAR (1.12) OPERATION nr, <br />RECLAMATION PERMIT APPLICATION VOU 2 2010 <br />Div*On Of RWJ,amation, <br />Wing am sa my <br />CHECK ONE: ?? There is a File Number Already Assigned to this Operation <br />#0LORADO <br />D IV IS I ON OF <br />RECLAMATION <br />MINING <br />SAFETY <br />Bill Ritter, Jr. <br />Governor <br />Harris D. Sherman <br />M -) 9 - 91 ?0$ (Please reference the file number currently assigned to this operatio a)ecutive Director <br />New Application (Rule 1.4.5)? Amendment Application (Rule 1.10) Ronald W. Cattany <br />Division Director <br />Conversion Application (Rule 1.1 1) Natural Resource Trustee <br />Permit # M - 19 - 91 - 078 (provide for Amendments and Conversions of existing permits) <br />The application for a Construction Materials Regular 112 Operation Reclamation Permit contains three major parts: (1) the application <br />form; (2) Exhibits A-S, Addendum 1, any sections of Exhibit 6.5 (Geotechnical Stability Exhibit; and (3) the application fee. When you <br />submit your application, be sure to include one (1) complete signed and notarized ORIGINAL and one (1) copy of the completed <br />application form, two (2) copies of Exhibits A-S, Addendum 1, appropriate sections of 6.5 (Geotechnical Stability Exhibit, and a check for <br />the application fee described under Section (4) below. Exhibits should NOT be bound or in a 3-ring binder; maps should be folded to <br />8 1/2" X 11" or 8 1/2" X 14" size. To expedite processing, please provide the information in the format and order described in this fort. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly, in the space provided, ALL information requested below. <br />2 <br />Applicant/operator or company name (name to be used on permit): KIOWa County <br />1.1 Type of organization (corporation, partnership, etc.): Government <br />Operation name (pit, mine or site name): Peters Pit <br />3. Permitted acreage (new or existing site): <br />3.1 Change in acreage (+) <br />3.2 Total acreage in Permit area <br />4. Fees: <br />4.1 New Application <br />4.2 New Quarry Application <br />4.4 Amendment Fee <br />4.5 Conversion to 112 operation (set by statute) <br />5. Primary commoditie(s) to be mined: Gravel <br />5.1 Incidental commoditie(s) to be mined: 1. lbs/Tons/yr <br />3. ! Ibs/Tons/yr 4. / lbs/Tons/yr <br />5.2 Anticipated end use of primary commoditie(s) to be mined: Gravel <br />5.3 Anticipated end use of incidental commoditie(s) to be mined: Road Base <br />9 <br />69 <br />. permitted acres <br />11 <br />8 <br />. acres <br />21 <br />49 <br />. acres <br />$2,696.00 application fee <br />$3,342.00 quarry application <br />$2,229.00 amendment fee <br />$2,696.00 conversion fee <br />2. / Ibs/Tons/vr <br />5. / lbs/Tons/yr <br />Office of <br />Mined Land Reclamation <br />Denver • Grand )unction • Durango <br />Office of <br />Active and Inactive Mines <br />